LPLD Community Connections Application
If you have questions or comments please contact Emily Wille, Outreach Manager, at (812) 537-2775 ext. 7-1130 or ewille@lpld.lib.in.us
Organization Profile:
Name *
Your answer
Primary Address: *
Your answer
Alternate Address
Your answer
Phone Number: *
Your answer
Fax Number:
Your answer
Contact Person: *
Your answer
Contact Person's Email: *
Your answer
Description of organization: *
Your answer
Hours: *
Your answer
Logo URL & Description *
Your answer
More Info:
General Note (information you wish to share with the community):
Your answer
Target Group:
Your answer
Area Served: *
Your answer
Who is eligible to use the services: *
Your answer
Affiliations:
Your answer
Social:
Facebook page URL:
Your answer
Twitter URL:
Your answer
Blog URL:
Your answer
Other:
Your answer
Web Links (website address & title/description): *
Your answer
Services:
List of services available:
Your answer
Keywords:
List of terms that might be used to locate your services (list as many terms as you wish)
Your answer
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